BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK HYL HIP LNR

    MDR report key: 469618 · Received July 3, 2003

    Report

    Report Number
    1818910-2003-00403
    Event Type
    Injury
    Date Received
    July 3, 2003
    Date of Event
    June 4, 2003
    Report Date
    June 4, 2003
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    JDI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT WAS REVISED DUE TO A WORN HYLAMER LINER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK HYL HIP LNR TOTAL HIP PROSTHESIS JDI DEPUY ORTHOPAEDICS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention